A child with ictal fear as the primary epileptic manifestation

Miki Inutsuka, Tatsuya Ogino, Harumi Yoshinaga, Yoko Ohtsuka, Eiji Oka

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)


We report a 4-year-old boy with ictal fear as his primary epileptic manifestation. Following an arrest of motion, the boy started to scream and struggle with an expression of horror on his face. Oral automatisms appeared around the end of the seizure. Complex visual and gustatory hallucinations and pain in the left leg were also observed, Ictal and interictal scalp EEGs revealed epileptic discharges in bilateral frontal regions. Ictal SPECT (99 mTc-HMPAO) showed hyperperfusion in right medial temporal area. These findings suggest that ictal fear associated with other ictal manifestations such as various hallucinations and oral automatisms resulted from rapid spread of epileptic discharges from frontal lobes to the right anterior temporal region.

Original languageEnglish
Pages (from-to)336-341
Number of pages6
Issue number4
Publication statusPublished - 2003

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology


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